Duplicate Copy

1ST FLOOR JAY MOTOR BUILDING,

NANDURBAR- SHAHADA ROAD,
AT POST KUKDAIL, SHAHADA
Nandurbar - 425409
Receipt
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Original for Recipient
Customer Installation Address:
JASANI PRATIKKUMAR ASHVINBHAI
Flat No: 80
Bldg: 8080
Soc: 8080
Sec/Loc: taloda
Street: chinoda road taloda
Area: taloda
City: Dhule
State: MAHARASHTRA
PinCode: 425413
Contact# 8238243498
k9403623389@gmail.com
Relationship ID: 8238243498
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ItemName Qty Amt(Rs)
HSN/SAC
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Conectvty colcn_599 1EA 3030.24
EAN#:1016880 0000
Platform colcn_599 1EA 5451.60
EAN#:1016881 0000
Set Top Box 1EA 0.00
EAN#:920004636 0000
WIFI-AP 1EA 0.00
EAN#:920004675 0000
ORN : NO00011I7LNL
SERVICEID : 02567 354219
BALANCE DUE 8481.84
EOI Deposit Voucher 1000.00
DISCLAIMER: This is a computer generated Duplicate Invoice copy hence seal and signature not required. Any replacement ,
warranty, guarantee and product liability claim shall be honoured against original invoice only. Reliance Retail Limited.
may, at its sole discretion, relax or waive any of its conditions mentioned overleaf the original invoice.
 ONLINE - UPI 7481.84
Items = 4
========================================
TOTAL 8481.84
========================================
THANK YOU
C#0689778227 Dt: 04/07/2024 11:08:52
S#IA31 Txn#1 R#183
PaymentRefNo#IA31183000104072024
ReceiptNo IA31183241000026
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Cheques are subject to realization and
goods will be delivered only after the
cheque realization.
Telecommunication Services to be
provided by Reliance Jio Infocomm
Limited.
Charges collected & Home Gateway provided
on their behalf.Platform services to be
provided by Jio Platforms Limited and
charges collected on their behalf.
All Disputes are subject to Mumbai
Jurisdiction only.
----------------------------------------
IA31183000104072024
0.2.4 : OK
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1ST FLOOR JAY MOTOR BUILDING,
Date:0704 Time:111718
MID:00000000000IA31 TID:IA310183
BATCH NUM:0 INV NUM:835441
SALE
20240704210600000015581140020892080 SWIPE
EXP DATE:03/08/2024 CARD:ONLINE - UPI
APPR CODE: RRN:010000
TOTAL AMT:7481.84
SIGN:----------------------------------
BAL:0.00
I AGREE TO PAY AS PER CARD ISSUER
PLEASE KEEP FOR YOUR RECORDS
************* Merchant Copy ************

DISCLAIMER: This is a computer generated Duplicate Invoice copy hence seal and signature not required. Any replacement ,
warranty, guarantee and product liability claim shall be honoured against original invoice only. Reliance Retail Limited.
may, at its sole discretion, relax or waive any of its conditions mentioned overleaf the original invoice.
 1ST FLOOR JAY MOTOR BUILDING,
PREPAID CARD
Date:0704 Time:111718
MID:00000000000IA31 TID:IA310183
BATCH NUM:0 INV NUM:835441
SALE
20240704210600000015581140020892080 SWIPE
EXP DATE:03/08/2024 CARD:ONLINE - UPI
APPR CODE: RRN:010000
TOTAL AMT:7481.84
SIGN:-----------------------------------
BAL:0.00
I AGREE TO PAY AS PER CARD ISSUER
PLEASE KEEP FOR YOUR RECORDS
************* Customer Copy ************

DISCLAIMER: This is a computer generated Duplicate Invoice copy hence seal and signature not required. Any replacement ,
warranty, guarantee and product liability claim shall be honoured against original invoice only. Reliance Retail Limited.
may, at its sole discretion, relax or waive any of its conditions mentioned overleaf the original invoice.